This study is concerned with some of the changes that are occurring
in the nurse-patient relatianship and the organisatian of nurses.
An historical introduction is given to illustrate how nursing has
failed to change due to lack of internal direction and excessive
Specifically designed questionnaires were the means of measurement
for all the studies carried out.
Initial studies had shown that structured change towards the 'nursing
process' had more positive outcome than unstructured change (P<O.05).
In a positive environment, first year student nurses became more
positive themselves towards the 'nursing process' (P<O.OOl).
Third year students' change, while positive, was not significant.
Three small pilot studies showed that nurses involved with primary
nursing methods of work felt significantly more independent (P<O.OOl),
perceived themselves to have significantly more status (P<O.05),
and were significantly more democratic in how they lead staff (P<O.002)
than nurses working through more traditional work patterns. A classificatian system of nurses' work methods was developed
to objectively measure the organisatianal style of a hospital ward.
The classification was based an how the ward organisatian facilitated
attachment between the patient and qualified nurse. Three styles
of organisational methods were identified from this: 1) Primary
Style; 2) Team Style; 3) Traditional/Task Style.
This system was then used to select wards for the main study.
The main study was concerned with stress qualified and student
nurses felt at work. Staff working through Primary and Team style
nursing were compared (N = 198). Twenty eight wards fram thirteen health authorities were used
in the study [... continues].
A Master's Thesis. Submitted in partial fulfilment of the requirements for the award of Master of Philosophy of Loughborough University.